CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Fort Hamilton Hughes Memorial Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,405
about 1.4× the $14,044 Medicare rate · typically $15,338–$27,408
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,389
Above the fair price
about $3,984 over the fair price · 1.7× Medicare
Medicare pays $14,044 Fair price $19,405 This hospital $23,389

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $8,680 Priciest $23,389

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $19,405 (about 1.4× the $14,044 Medicare rate). Fort Hamilton Hughes Memorial Hospital charges insurers about $23,389 — above the fair price. Located in Hamilton, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19,405. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $15,133 - $39,673 108%
Blue Cross Blue Shieldmajor $15,133 - $34,925 108%
Aetnamajor $15,133 - $32,854 108%
Cignamajor $15,133 - $38,234 108%
Humanamajor $15,133 108%
CareSource $15,133 - $23,389 108%
Devoted Health $15,133 108%
Medical Mutual $15,133 - $39,298 108%
Molina $15,890 - $32,411 113%
+ 5 smaller / regional plans $15,133 - $35,562

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 630 Eaton Avenue, Hamilton, OH 45013
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals